Dental Crowns in Hungary

As you age, your teeth age too. Decay, fillings, trauma or even just normal chewing habits can make your teeth break down over time. A dental crown or a cap is a cover that is placed over a tooth to protect a weakened tooth from further fracturing or deteriorating.  A crown could also be used to replace a discolored or badly shaped tooth or protect a tooth that has had a root canal. Lastly, a new crown is necessary to simply replace an old worn down or defective crown

It normally takes two visits for your dentist to complete your crown.  On your first visit your dentist will shape and prepare the tooth so the crown can properly fit over it.

Next, an impression of the tooth is taken and a temporary crown is inserted to protect the prepared tooth.  This impression is then sent to a dental laboratory where a custom-fit permanent crown is made.

On your second visit, the permanent crown is placed. If the fit, shape and color of the crown are satisfactory your dentist will proceed with permanently cementing it into place.

 

Information on Conservative Dental Intervention

Preparing Fixed replacements (crown, bridge)

Indication:

Filling: in case of smaller decays

  1. in case of significantly destroyed tooth,
  2. in case of replacement of an old crown,
  3. in case of solving shape and aesthetic irregularity of tooth,
  4. in case of rebuilding root-treated tooth
    Crown, bridge: Teeth are ground off in accordance with relevant regulations (shoulder preparation). The missing part is replaced with a so-called tooth stump building material (glass ionomer), or, in case of root-treated teeth, post and core may be rebuilt with anchoring in canal (carbon/glass fibre post rebuilding). Impression-making is required after the preparation of teeth (see inlay). In case of bridges of more extension, a separate session of gnathological measuring is necessary for the harmonic occlusal of lower and upper dental arch.

Dental Technique

Dental technique works require approximately one week (with the exception of works performed by using CAD-CAM procedure- in such cases, the work requires seven labour days). In certain cases, the dental technique term may be reduced upon the request of patient with paying extra charge. Inlay may be made of composite strengthened by glass particles or pressed ceramic. Crowns and bridges may be made of composite strengthened by glass particles, burned or pressed ceramic, regular metal alloy with ceramic cover, dental gold alloy (cast or electro gliding technique) with ceramic cover, titanium or zirconium with ceramic cover (CAD-CAM procedure). The test of frame is carried out during an interim sitting before the ceramic layer. Colour and shape of replacement may be checked at an interim sitting and the patient have the possibility to consult the dental technician personally by visiting the dental technicians’ laboratory.

In case of bridges and crown, a previous wax up model and smile design programme aides the treatment.

Materials used:

Material of crowns and bridges:

Metal alloy with covered with porcelain

Gold alloy with covered with porcelain

Nickel-titanium alloy with ceramic cover

Zirconium, aluminium-dioxide with ceramic cover

Temporary Treatment

Crown, bridge: In the office a temporary crown or bridge is attached right after the treatment that provides proper chewing and speech function. In case there are several weeks until receiving the final bridges or crowns (e.g. healing term of inflamed gum), we provide the temporary bridge or crown made in the dental technicians’ laboratory.

Complaints

  1. Surface of temporary inlays, bridges or crowns may be raspy or not smooth enough.
  2. Tooth may be more sensitive with temporary inlays, bridges or crowns.
  3. Gum may be sensitive for a few days subsequent to impression-making.
  4. Temporary inlays, bridges or crowns may fall off due to overload (consuming hard and sticky food). Tooth cannot be super infected, however, temporary inlays, bridges or crowns shall be reattached to prevent causing damage to teeth. (If tooth causes no complaint and you cannot replace temporary crowns, you should spare the tooth and avoid using it for chewing until following meeting. You can reattach it by using denture glue until the next consultation).
  5. Subsequent to treatment, tooth may be sensitive to cold or warm, and its occlusional function decreases. If you have sharp or blunt pain that is throbbing and intensive, it is very likely that you have pulpitis (inflammation or dental pulp mortification) and tooth need to be rootcanal-treated. You shall consult your dentist.

Complications

  1. When preparing cavity, removing decayed part beneath old filling and cleaning cavity dental pulp may be exposed. In such cases tooth needs root canal treatment.
  2. In many occasions, the complaint tooth gets inflamed subsequent to treatment. Supposedly, dental pulp might have been infected and germs living in dental pulp may cause the inflammation. Root canal treatment serves as the adequate therapy in these cases.
  3. Inlay ruptures due to nocturnal bruxism or dynamic chewing muscle load. In this case the inlay shall be replaced.

Handing over:

Crown and bridge: The colour and shape of crown and bridges may checked upon handing over. In case they are adequate from aesthetic and functional point of view, attaching is performed under local anaesthesia. Height correction is performed in this or in further sitting.

Incorporation

Getting used to crowns or bridges may take for weeks, even for months. Height adjustment and correction may be needed several times. Subsequent to attachment, vital teeth may be sensitive to cold and warm and chewing function may decrease, however, it passes after a certain amount of time. This period of time depends on the individual. Sometimes it takes half a year to cease the symptoms. This may be due to the formation of a so-called tertiary or protective dentine layer around the pulp; this is how your body provides the protection of teeth. Since it may take several months, we kindly ask you to be patient. However, you shall inform our dentist on all symptoms as the transitory period could treated well by using laser therapy. Shall you encounter intensive pain that does not fade away, contact our dentist.

Warranty

Warranty may be claimed for failure of dentist or problems due to dental technician work. Warranty on inlays, crowns and bridges do not cover new decays or accidents resulting from inadequate dental care.

Term of warranty is one year. The condition of warranty is the participation in follow-up examination and in dental hygienic procedure (cleaning, polishing of the teeth) in every six months.

Cleaning at home

Dental care at home includes the proper use of toothbrush and paste, moreover the regular use of interdental brush and dental floss. You shall request the opinion of dental hygienist (dental hygienic consultation) in all cases and clean your teeth obeying his/her advise.

Information on conserving dental veneers

During the consultation, your therapist informs you on the given intervention in details. This informative supply aims at refreshing what has been heard and summarising the answers of the most frequent questions. Please read carefully this handout prior to the initiation of your treatment and in case of any questions or doubt do not hesitate to consult with your therapist.

The purpose of this handout is to provide information for patients and their approval of treatment with full knowledge and informed consent in compliance with Lisbon Declaration of WHO of 1981 and with Act CLIV of 1997 effective in Hungary.

Indication:

  1. In case the front teeth are tarnished and greyish, and bleaching is not efficient (e.g. acquired tetracycline disease)
  2. In case the shape of front teeth is not appropriate.
  3. In case of connatal teratism dental enamel and dentin (enamel and dentin hypoplasia).
  4. In case of state abnormality of front parts that may not be regulated with dental care or the patient does not wish it to be regulated.
  5. In case of diastema of front teeth.
  6. In case the patient is not satisfied with his/her smile.
  7. In case a part of front tooth has broken off and it is not suggested to repair with filling.

One may decide at previous smile-design that which teeth need veneers. The colour and even the shape of incisors, canines and premolars may be modified with bonding veneers.

Treatment:

During treatment, 0.6-0.7 mms from external surface and 1.5 mms from edge surface are eliminated. Impression is made from prepared teeth that provides the base of veneers carried out by dental technician. For the perfect occlusion of upper and lower arch, we need antagonist, namely the opposite arch of the prepared teeth, impression. At the first treatment, the prepared dental surface is covered by temporary veneers. The colour of veneers is decided at impression-taking.

Dental technique:

Dental technique works require approximately one week. Waiting period may be reduced to 5 days upon paying urgency charge. During previous smile-design, one may precisely decide on the shape, size and location of teeth. Veneers, as it is described in the attached brochure, are made of composite, however, normally of ceramics. (We can send you photos of desired tooth-shape and the personal meeting is possible in the laboratory).

Temporary:

Temporary veneers are made of composite based material or composite material and are attached to prepared tooth surface immediately after grinding. Temporary veneers are used chiefly due to aesthetic reasons. Chewing and biting functions are of lower intensity.

Complaints:

  1. Subsequent to treatment:

1. Teeth may be sensitive to cold or warm. This is a natural accompanist of treatment. (In case of severe pain, we kindly ask you to consult your dentist).

2. Temporary veneers may slide off due to significant dynamic effect.

3. The surface of temporary veneers may be raspier than the surface of regular teeth.

4. The gum or the location of injection may be sensitive subsequent to treatment.

 

  1. Subsequent to attaching:

1. Teeth may be sensitive to warm and cold for a few weeks.

2. Certain parts may impede the perfect occlusion.

3. Gluing material remains on the surface.

Complications:

  1. Temporary veneers may fall of due to mechanical effects (clashing of teeth, bite, teeth gritting).
  2. Due to the impact of treatment, dental pulp inflames and tooth requires root canal treatment.
  3. In very rare occasions, the attached veneer may fall off. This may be caused by nocturnal teeth gritting or incorrect biting.

Handing over:

Attaching veneers is carried out a week later, normally under anaesthesia.

Incorporation:

  1. After attaching veneers, new material and new shape is inserted in mouth. Both lips and tongue shall get used to the new conditions. During accustoming, one may consider teeth smaller or bigger than their original size is.
  2. Muscle tones of lips shall accustom to new teeth, too. The sliding of upper and lower lips on tooth surface may be unusual when laughing or talking.
  3. The modified air flow during talking and phonation may be atypical for a few days or perhaps for a week.
  4. One may encounter sensitivity to cold or warm after the attaching. It ceases within a few days, however, in certain cases a few weeks.

Warranty:

Warranty may be claimed for breaking and cracking of veneers that is not caused by accident, psychic or acquired bruxism or new hobby (e.g. taking up piping etc.). Warranty lasts for two years and may be claimed when patient participates in the half-year follow-up examination and the dental hygienic consultation.

Warranty may not be claimed:

  1. upon aesthetic consideration (e.g. one desires other shaped tooth of different colour)
  2. In case of decaying of tooth
  3. In case patient does not participate in the half-year follow-up examination and the dental hygienic consultation.

Home care and cleaning:

It is inevitable to take a proper care of teeth. Regular use of adequate tooth brush, tooth paste and dental floss is required. Cleaning of teeth is carried out in compliance with the advice and guide of dental hygienist (dental hygienic consultation).

Cosmetic treatments – veneers

  1. Did you know that the aesthetic composite veneer is usually applied to the front teeth? This is because they are very thin and in most cases they are for covering up tiny aesthetic differences or treat minor defects.
  2. Did you know that conventional veneers are already used in such cases when a dental crown is not necessary, yet?
  3. Did you know that veneers can also be made of resin, and it is put layer by layer on the tooth or teeth?
  4. Did you know that the color of veneers is the same as the surrounding teeth, so they are invisible?
  5. Did you know that conventional veneers are most often used to treat broken or chipped teeth?